RN Comprehensive Online Practice 2019 B with NGN | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Agency for Healthcare Research and Quality. This agency collects and analyzes data related to healthcare quality and access in the U.S., including information on minority populations like migrant farmworkers. The Agency for Healthcare Research and Quality would provide specific data on health services that the nurse can use to improve healthcare delivery for this group.

The other choices are incorrect because:
B: National Institutes of Health focuses on biomedical research and funding, not specifically on healthcare delivery data for minority populations.
C: Department of Agriculture deals with agricultural policies and programs, not healthcare services data.
D: World Health Organization is an international organization that focuses on global health issues, not specific data for a rural community in the U.S.

Correct Answer: B

Rationale: The correct answer is B: Tension pneumothorax. When a client is receiving PEEP via mechanical ventilation, there is a risk of developing a tension pneumothorax, which is a serious condition where air accumulates in the pleural space under pressure, leading to lung collapse and compromised circulation. Monitoring for tension pneumothorax is crucial because it can be life-threatening if not promptly treated.

Hypoxemia (choice
A) is a common complication in clients on mechanical ventilation but is not specifically associated with PEEP. Malignant hypertension (choice
C) is not a typical adverse effect of PEEP. Atelectasis (choice
D) is a condition where part or all of the lung collapses, which can be a concern in ventilated clients but is not directly related to PEEP.

Correct Answer: A

Rationale: The correct answer is A: A client who has cellulitis and is receiving oral antibiotics every 8 hr. The rationale is that cellulitis is a common bacterial skin infection that can typically be managed on an outpatient basis with oral antibiotics. This client is stable and can continue treatment at home, freeing up a hospital bed for more critical patients.


Choice B is incorrect because a client without a gag reflex post-endoscopy requires close monitoring for potential airway compromise, making discharge unsafe.
Choice C should not be recommended for discharge as the mother and newborn require continuous monitoring and support in the immediate postpartum period.
Choice D, a client with lower extremity weakness newly admitted for observation, may have underlying serious conditions that need further evaluation, so discharge would be premature.

Correct Answer: C

Rationale: The correct answer is C: Respiratory acidosis. The pH is low (acidosis) at 7.2, indicating an acid-base imbalance. The PaCO2 is elevated at 60 mm Hg, suggesting respiratory involvement as high PaCO2 leads to acidosis. The HCO3 is normal at 25 mEq/L, ruling out metabolic acidosis. Respiratory acidosis occurs when there is inadequate excretion of CO2, leading to its accumulation in the blood, causing a decrease in pH.

Choices A, B, and D can be eliminated because they do not match the ABG values provided in the question.

Correct Answer: D

Rationale:
Correct
Answer: D - "I will be checking you once with your eyes open and once with them closed."


Rationale: The Romberg test assesses a person's ability to maintain balance with eyes open and closed, evaluating proprioception. This statement informs the client about the procedure accurately.

Summary:
A: Incorrect - Feet should be together, not apart.
B: Incorrect - Hands should be at the sides, not on hips.
C: Incorrect - The nurse should be close to the client for safety.